| NPI | 1730940685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 204218) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86672) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |